Explicit health guarantees program for gastric cancer in chile: analysis of mortality and structural changes

Authors

  • Christopher Sanchez-Moya Centro de Investigación en Sociedad y Salud, Universidad Mayor, Chile.

Keywords:

Gastric cancer, Public policy, Health plans and programs, Time series studies, Chile

Abstract

Objective: To analyze the variation in gastric cancer mortality rates in Chile following the implementation of the Explicit Health Guarantees Program within the Chilean Healthcare System, from its introduction in 2006 to 2022.

Metodology: A quantitative, analytical, retrospective cross-sectional study was conducted. A secondary analysis of gastric cancer mortality rates between 2000 and 2022 was performed. The technique used involved time series analysis with structural changes, using Chow statistical test. All deaths with gastric cancer as the primary cause were included.

Results: A structural change in the time series of standardized mortality due to gastric cancer in the population was identified through annual observations from 2000 to 2022, with a Chow test = 25.62; p-value of 1.572e-5; at a significance level of 0.05. It was identified in the year 2012.

Conclusion: Following the implementation of the Explicit Health Guarantees Program in 2006, a structural change in mortality analysis was observed, specifically related to gastric cancer, in the year 2012. Screening, coverage, access, and health promotion measures contributed to the reduction in mortality between 2012 and 2022.

Downloads

Download data is not yet available.

References

Ministerio de Salud. Guías Clínicas AUGE-GES. [Internet]. Santiago: Ministerio de Salud; [actualizado en 2022; citado el 20 de junio de 2023]. Disponible en: https://www.minsal.cl/auge-ges/

Ministerio de Salud de Chile. Garantías Explícitas en Salud (GES). [Internet]. Santiago, Chile: Ministerio de Salud; c2021 [citado el 14 de junio de 2023]. Disponible en: https://www.minsal.cl/garantias-expl%C3%ADcitas-en-salud-ges/

Ley Número 19.966. Establece Garantías en Salud. Diario Oficial de la República de Chile. 29 de julio de 2004.

Figueroa-González G, López-Köstner F, Soto-Pérez JC, Ferreccio C. Gastric cancer in Chile: trends in incidence and mortality (1988-2006). Rev Med Chil. 2011;139(6):743-750. DOI: 10.4067/S0034-98872011000600005.

Ministerio de Salud. Vigilancia Epidemiológica del Cáncer en Chile: Informe 2018. Santiago: Ministerio de Salud; 2020.

Ministerio de Salud de Chile. Guía Clínica AUGE-GES de Cáncer Gástrico. Santiago: Ministerio de Salud; 2016.

World Health Organization. Global Health Observatory (GHO) data: Cancer. Geneva: World Health Organization. [Internet]. 2022. [citado el 14 de junio de 2023]. Disponible en: http://www.who.int

Csendes Atila, Figueroa Manuel. Situación del cáncer gástrico en el mundo y en Chile. Rev. Chil Cir [Internet]. 2017. [citado 27 de Junio de 2023]; 69(6): 502-507. Disponible en: http://dx.doi.org/10.1016/j.rchic.2016.10.014.

Chow GC. Tests of equality between sets of coefficients in two linear regressions. Econométrica. 1960;28(3):591-605.

Medina L Ernesto, Kaempffer R Ana M. Mortalidad del adulto en Chile. Rev. méd. Chile [Internet]. 2000 [citado 05 de junio de 2023]; 128(10): 1144-1149. Disponible en: http://dx.doi.org/10.4067/S0034-98872000001000011.

Downloads

Published

2023-12-27

How to Cite

1.
Sanchez-Moya C. Explicit health guarantees program for gastric cancer in chile: analysis of mortality and structural changes . Rev. Salud Pública (Córdoba) [Internet]. 2023 Dec. 27 [cited 2024 May 18];29(2). Available from: https://revistas.unc.edu.ar/index.php/RSD/article/view/41798

Issue

Vol. 29 No. 2 (2023): Revista de Salud Pública

Section

Scientific Articles

License

Copyright (c) 2023 Escuela de Salud Pública y Ambiente. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License which allows the work to be copied, distributed, exhibited and interpreted as long as it is not done for commercial purposes.
    2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
    3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) after the publication process. (See The Effect of Open Access). (See The Effect of Open Access).